Classifications

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  • C07—ORGANIC CHEMISTRY
  • C07C—ACYCLIC OR CARBOCYCLIC COMPOUNDS
  • C07C317/00—Sulfones; Sulfoxides
  • C07C317/44—Sulfones; Sulfoxides having sulfone or sulfoxide groups and carboxyl groups bound to the same carbon skeleton
  • C07C317/48—Sulfones; Sulfoxides having sulfone or sulfoxide groups and carboxyl groups bound to the same carbon skeleton the carbon skeleton being further substituted by singly-bound nitrogen atoms, not being part of nitro or nitroso groups
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P11/00—Drugs for disorders of the respiratory system
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P15/00—Drugs for genital or sexual disorders; Contraceptives
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P19/00—Drugs for skeletal disorders
  • A61P19/02—Drugs for skeletal disorders for joint disorders, e.g. arthritis, arthrosis
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P21/00—Drugs for disorders of the muscular or neuromuscular system
  • A61P21/04—Drugs for disorders of the muscular or neuromuscular system for myasthenia gravis
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P25/00—Drugs for disorders of the nervous system
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P25/00—Drugs for disorders of the nervous system
  • A61P25/04—Centrally acting analgesics, e.g. opioids
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P25/00—Drugs for disorders of the nervous system
  • A61P25/28—Drugs for disorders of the nervous system for treating neurodegenerative disorders of the central nervous system, e.g. nootropic agents, cognition enhancers, drugs for treating Alzheimer's disease or other forms of dementia
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P29/00—Non-central analgesic, antipyretic or antiinflammatory agents, e.g. antirheumatic agents; Non-steroidal antiinflammatory drugs [NSAID]
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P31/00—Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
  • A61P31/02—Local antiseptics
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P35/00—Antineoplastic agents
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P37/00—Drugs for immunological or allergic disorders
  • A61P37/02—Immunomodulators
  • A61P37/06—Immunosuppressants, e.g. drugs for graft rejection
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P37/00—Drugs for immunological or allergic disorders
  • A61P37/08—Antiallergic agents
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P9/00—Drugs for disorders of the cardiovascular system
  • A61P9/10—Drugs for disorders of the cardiovascular system for treating ischaemic or atherosclerotic diseases, e.g. antianginal drugs, coronary vasodilators, drugs for myocardial infarction, retinopathy, cerebrovascula insufficiency, renal arteriosclerosis
• • C—CHEMISTRY; METALLURGY
  • C07—ORGANIC CHEMISTRY
  • C07C—ACYCLIC OR CARBOCYCLIC COMPOUNDS
  • C07C2601/00—Systems containing only non-condensed rings
  • C07C2601/02—Systems containing only non-condensed rings with a three-membered ring

Definitions

• Cathepsin S is a cysteine protease that belongs to the papain superfamily. It is most highly expressed in lung followed by lymph nodes, spleen, ileum, adipose, liver, heart and microglial of the brain. Cathepsin S has a restricted cell type distribution; it is expressed in antigen presenting cells such as B cells, dendritic cells, macrophage as well as smooth muscle cells and tumour cells. It is found in the type II alveolar cells and the resident macrophages of the lung. It resides intracellularly in acidic endosomes/lysosomes and is also secreted extracellularly where it is presumed to function at or near the cell surface.
• Cathepsin S has diverse endopeptidase, di-peptidyl-peptidase and aminopeptidase activities.
• Cystatins are endogenous tight-binding inhibitors of Cathepsin S.
• Cathepsin S (abbreviated Cat S) is implicated in Alzheimer's disease, Down's syndrome, atherosclerosis, chronic obstructive pulmonary disease, cancer, osteoarthritis, Gaucher disease, myoclonus epilepsy (EPMI) and certain autoimmune disorders, including, but not limited to juvenile onset diabetes, multiple sclerosis, pemphigus vulgaris, Graves' disease, myasthenia gravis, systemic lupus erythematosus, rheumatoid arthritis and Hashimoto's thyroiditis; allergic disorders, including, but not limited to asthma; and allogenic immune responses, including, but not limited to, rejection of organ transplants or tissue grafts, see (CA Lemere et al., Am J.
• Pathol 146 848-860, 1995; J.S. Munger et al., Biochem J 1995 311, 299-305; J. Liu et al., Arterioscler Thromb Vase Biol 24: 1359-1366, 2004; G.K. Sukhova et al., J Clin Invest 2003 111, 897-906; T. Flannery et al., Am J Pathol 163: 175-182, 2003; P.L. Fernandez et al., Int J Cancer 95: 51-55, 2001; M. Soderstrom et al., Matrix Biol 19: 717-725, 2001 ; M.T. Moran et al., Blood 96: 1969-1978, 2000;R.
• Cat S mRNA The levels of Cat S mRNA have been found to be significantly increased in the brains of Creutzfeldt- Jakob disease patients (CA. Baker et al., J Virol 76: 10905-10913, 2002; F. Dandoy-Dron et al., JBC 273: 7691-7697, 1998). Due to its high elastinolytic activity, it has also been suggested that cathepsin S is involved in vascular matrix remodeling during angiogenesis and the promotion of cilia motility in the lung. Increased Cathepsin S levels have been found in the extracellular environment during various pathological conditions, such as, tumor invasion, atherogenesis and muscular dystrophy.
• Cathepsin S inhibitors have been shown to inhibit other disorders such as atherosclerosis and ThI type inflammation.
• Cathepsin S knock out mice and inhibitor studies show a clear role for the intracellular Cat S in MHC class II invariant chain processing whereby it cleaves the invariant chain (Ii) plO fragment to allow peptide exchange in the class II peptide binding groove.
• Cat S is the limiting step in antigen presentation.
• Complete knock-down of Cat S levels demonstrated that high fractional inhibition of Cat S is required before immune responses in the mouse are modulated, while data obtained from Cat S heterozygotic mice showed no effect on Ii degradation.
• Cathepsin S may also play a role in antigen processing.
• cathepsin S mRNA was found in animal models of chronic pain. It was demonstrated that inhibition of Cat S with a small molecule inhibitor reversed the mechanical hyperalgesia in these animals (PCT Application WO 03/020287). The crystal structure of cathepsin S with and without inhibitors has been resolved.
• Cathepsin S inhibitors have reported in, for example, PCT Application WO05/028429). Cathepsin S inhibitors would be useful in treating disorders involving inflammation and tissue remodeling; allogenic, autoimmune, neurological or allergic disorders; cancer; as well as inflammatory or neuropathic pain.
• the present invention relates to inhibitors of cathepsin S, which are useful in the treatment and prevention of various cathepsin S dependent diseases and conditions.
• the present invention also relates to methods for using the inhibitors in the prevention and treatment of cathepsin S dependent diseases and conditions as well as pharmaceutical compositions containing the inhibitors.
• the present invention provides compounds of formula I and pharmaceutically acceptable salts thereof:
• X is -(CHRb) n ;
• Y is -O-, -NRb-, -NRbC(O)-, -C(O)NRb-, CRaRb -CF2-, -CCI2-, -S-, -S(O)-, -S(0)2-, -S(0)2NRb-, n is an integer selected from 1 to 6;
• Rl is Ci-6 haloalkyl, C2-6 alkenyl, C2-6 alkynyl, aryl, heteroaryl, aryl-Ci-6alkyI-, or heteroaryl-C]-6alkyl-, wherein said alkenyl and alkynyl are optionally substituted with a C3_6cycloalkyl, and wherein said aryl and heteroaryl are optionally substituted with 1 to 3 substituents independently selected from Ci- ⁇ alkyl, Ci_6alkoxy, halo, C].6 haloalkyl, C3_6cycloalkyl, C].6 haloalkoxy, -SR a , - S(O)Ra -S(O)2R a , -ORa, NRbRC, cyano, and aryl; R2 is hydrogen or Ci -6 haloalkyl;
• R3 is Chalky., C ⁇ . ⁇ haloalkyl, C3_6cycloalkyl, C3-6cycloalkyl-Ci_6alkyl-, aryl, aryl-Ci.6alkyl-, heteroaryl, or heteroaryl-Ci_6alkyl-, wherein cycloalkyl is optionally substituted with C 1.3 haloalkyl, and wherein aryl and heteroaryl are optionally substituted with 1 to 3 substituents independently selected from Ci ⁇ alkyl, halo, C ⁇ - ⁇ haloalkyl, C3_6cycloalkyl, Ci-6 haloalkoxy, -SR a , -S(O)Ra, -S(0)2R a , -ORa,
• Y-R3 is S(O)2 ⁇ Rb or-SO2NH2;
• R4 is CH3S-, CH3S(O)-, CH3SO2-, Ci_6alkyl, Ci -6 haloalkyl, C3.6cycloall.yl,
• R5 and R6 are independently selected from hydrogen, Ci -6 alkyl and C2-6 alkenyl wherein said alkyl and alkenyl groups are optionally substituted with 1 to 6 halo, C3-6cycloalkyl, -SRa, S(O)Ra, S(0)2R a , ORa, NRbRC; or R5 and R ⁇ together with the carbon atom to which they are attached form a C3-8 cycloalkyl ring or a heterocyclyl ring wherein said ring system is optionally substituted with Cl -6 alkyl or halo;
• R a is hydrogen, Ci_6alkyl, aryl, heteroaryl, aryl-Ci_6alkyl and heteroaryl-Ci- ⁇ alkyl;
• Rb and R c are independently hydrogen or Ci-6alkyl; or
• Rb and R c when attached to a nitrogen atom, together complete a 4- to 6-membered ring optionally having a second heteroatom selected from O, S and N-Rd; and Rd is hydrogen or Ci_6alkyl.
• Rl is aryl optionally substituted with 1 to 3 substituents independently selected from Ci_6alkyl, Ci- ⁇ alkoxy, halo, Ci-6 haloalkyl, C3-6cycloaIkyl, Ci_6 haloalkoxy, -SR a , -S(O)Ra, -S(0)2R a , -0R a , NRbRc, cyano, and aryl.
• Rl is fluorophenyl.
• R2 is Cl -6 haloalkyl. In one embodiment R2 is trifluoromethyl.
• R ⁇ and R6 are independently selected from hydrogen and Ci-6 alkyl.
• R ⁇ and R6 are each hydrogen; in another embodiment one of R5 and R ⁇ is hydrogen and the other is methyl.
• X is -(CH2)rr where n is an integer of from 1 to 3. In one embodiment thereof X is -CH2-; in another embodiment thereof X is -CH2CH2-.
• Y is selected from -S-, -SO-, -SO2-, -S ⁇ 2NRb-, and -O-.
• Y is -SO2-.
• Y is -SO-.
• the moiety -Y-R3 represents -SO2NH2 or -SO2NRbR3 wherein R3 is Ci_3alkyl or C3_6cycloalkyl optionally substituted with Ci-3haloalkyl.
• R3 is selected from Ci_6alkyl, C 1-6 haloalkyl, aryl, and aryl-Ci_6alkyl-, wherein aryl is optionally substituted with 1 to 3 substituents independently selected from Ci-6alkyl, halo, and Ci_6 haloalkyl.
• R3 is Cl -6 alkyl, optionally substituted phenyl or optionally substituted benzyl, wherein the substituents are 1 to 3 halo atoms.
• R3 is benzyl.
• R4 is C3_6cycloalkyl.
• R.2 is Ci-3haloalkyl and Rl is aryl optionally substituted with 1 or 2 halogen atoms.
• R2 is trifluoromethyl and Rl is phenyl or phenyl substituted with 1 or 2 halogen atoms.
• Alkyl as well as other groups having the prefix “alk” such as, for example, alkoxy, alkanoyl, and the like, means carbon chains which may be linear or branched or combinations thereof. Examples of alkyl groups include methyl, ethyl, propyl, isopropyl, butyl, sec- and tert-butyl, pentyl, hexyl and the like.
• Alkenyl means carbon chains which may be linear or branched or combinations thereof containing at least 1 carbon to carbon double bond. Examples of alkenyl groups include ethenyl, 1-propenyl, 2-propenyl, 2-methyl-l-propenyl, 1-butenyl and l-hexenyl.
• Aryl means any stable monocyclic or bicyclic carbon ring of up to 10 atoms wherein at least one ring is aromatic carbocycle. In cases where the aryl substituent is bicyclic and the second ring is non-aromatic (e.g., cycloalkyl, cycloalkenyl, heterocyclyl), it is understood that attachment is via the aromatic ring.
• aryl group examples include phenyl, naphthyl, tetrahydronaphthyl, methylenedioxy- phenyl, l,2,3,4-tetrahydroquinolin-5-yl, 4-or 5-indanyl, and 4- or 5-indenyl.
• Cycloalkyl means carbocycles containing no heteroatoms, and includes mono- and bicyclic saturated carbocycles, as well as fused ring systems. Such fused ring systems can include one ring that is partially or fully unsaturated such as a benzene ring to form fused ring systems such as benzofused carbocycles.
• Cycloalkyl includes such fused ring systems as spirofused ring systems, hi cases where the cycloalkyl substituent is bicyclic and the second ring is aryl, heteroaryl or heterocyclyl, it is understood that attachment is via the non-aromatic carbocyclic ring.
• Examples of cycloalkyl include cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, decahydronaphthalene, adamantane, indanyl, indenyl, 1,2,3 ,4-tetrahydronaphthalene and the like.
• Haloalkyl means an alkyl radical as defined above wherein at least one and up to all of the hydrogen atoms are replaced with a halogen.
• haloalkyl radicals include chloromethyl, 1-bromoethyl, fluoromethyl, difluoromethyl, trifluoromethyl, 2,2,2-trifluoroethyl and the like.
• Halogen or "halo” means fluorine, chlorine, bromine and iodine.
• Heteroaryl means a stable monocyclic or bicyclic ring of up to 10 atoms wherein at least one ring is aromatic and contains from 1 to 4 heteroatoms selected from the group consisting of O, N and S.
• Heteroaryl groups within the scope of this definition include, but are not limited to, pyrrolyl, imidazolyl, pyrazolyl, pyridyl, pyrimidinyl, pyrazinyl, pyridazinyl, furanyl, thienyl, oxazolyl, isoxazoly], oxadiazolyl, thiazolyl, isothiazolyl, thiadiazolyl, triazolyl, tetrazolyl, indolyl, isoindolyl, benzimidazolyl, benzo furanyl, benzothienyl, benzofurazanyl, benzopyrazolyl, benzotriazolyl, benzoxazolyl, benzothiazolyl, benzisoxazolyl, benzisothiazolyl, quinolinyl, isoquinolinyl, cinnolinyl, quinazolinyl, quinoxal
• heteroaryl substituent is bicyclic and one ring is non-aromatic (e.g, cycloalkyl, cycloalkenyl or heterocyclyl), it is understood that attachment is via the heteroaromatic ring; if both rings are aromatic and one contains no heteroatom, the attachment can be via either ring. If the heteroaryl contains nitrogen atoms, it is understood that the corresponding N-oxides thereof are also encompassed by this definition.
• Heterocyclyl means a 5- to 10-membered mono-or bicyclic nonaromatic ring containing from 1 to 4 heteroatoms selected from the group consisting of O, N and S.
• the second ring may be aryl, heteroaryl, heterocyclyl, cycloalkyl or cycloalkenyl; in such case it is understood that attachment is via the heterocyclic ring.
• Heterocyclyl includes, but is not limited to the following: piperazinyl, piperidinyl, pyrrolidinyl, morpholinyl, thiomorpholinyl, tetrahydropyranyl, tetrahydrothiophenyl and the like. If the heterocycle contains a nitrogen, it is understood that the corresponding N-oxides thereof are also emcompassed by this definition.
• Compounds described herein contain an asymmetric center and may thus exist as enantiomers. Where the compounds according to the invention possess two or more asymmetric centers, they may additionally exist as diastereomers.
• the present invention includes all such possible stereoisomers as substantially pure resolved enantiomers, racemic mixtures thereof, as well as mixtures of diastereomers.
• the above Formula I is shown without a definitive stereochemistry at certain positions.
• the present invention includes all stereoisomers of Formula I and pharmaceutically acceptable salts thereof.
• Diastereoisomeric pairs of enantiomers may be separated by, for example, fractional crystallization from a suitable solvent, and the pair of enantiomers thus obtained may be separated into individual stereoisomers by conventional means, for example by the use of an optically active acid or base as a resolving agent or on a chiral HPLC column. Further, any enantiomer or diastereomer of a compound of the general Formula I may be obtained by stereospecific synthesis using optically pure starting materials or reagents of known configuration.
• Some of the compounds described herein contain olefinic double bonds, and unless specified otherwise, are meant to include both E and Z geometric isomers.
• Some of the compounds described herein may exist with different points of attachment of hydrogen, referred to as tautomers. Such an example may be a ketone and its enol form known as keto-enol tautomers.
• the individual tautomers as well as mixture thereof are encompassed with compounds of Formula I.
• salts refers to salts prepared from pharmaceutically acceptable non-toxic bases or acids.
• pharmaceutically acceptable non-toxic bases including inorganic bases and organic bases.
• Salts derived from such inorganic bases include aluminum, ammonium, calcium, copper (ic and ous), ferric, ferrous, lithium, magnesium, manganese (ic and ous), potassium, sodium, zinc and the like salts. Preferred are the ammonium, calcium, magnesium, potassium and sodium salts.
• Salts prepared from pharmaceutically acceptable organic non-toxic bases include salts of primary, secondary, and tertiary amines derived from both naturally occurring and synthetic sources.
• organic non-toxic bases from which salts can be formed include, for example, arginine, betaine, caffeine, choline, N,N -dibenzylethylenediamine, diethylamine, 2-diethyl- aminoethanol, 2-dimethylaminoethanol, ethanolamine, ethylenediamine, N-ethylmorpholine, N- ethylpiperidine, glucamine, glucosamine, histidine, hydrabamine, isopropylamine, dicyclohexylamine, lysine, methylglucamine, morpholine, piperazine, piperidine, polyamine resins, procaine, purines, theobromine, triethylamine, trimethylamine, tripropylamine, tromethamine and the like.
• the compound of the present invention When the compound of the present invention is basic, its corresponding salt can be conveniently prepared from pharmaceutically acceptable non-toxic inorganic and organic acids.
• Such acids include, for example, acetic, benzenesulfonic, benzoic, camphorsulfonic, citric, ethanesulfonic, fumaric, gluconic, glutamic, hydrobromic, hydrochloric, isethionic, lactic, maleic, malic, mandelic, metibanesulfonic, mucic, nitric, pamoic, pantothenic, phosphoric, succinic, sulfuric, tartaric, p- toluenesulfonic acid and the like.
• Preferred are citric, hydrobromic, hydrochloric, maleic, phosphoric, sulfuric, and tartaric acids.
• prodrugs The present invention includes within its scope prodrugs of the compounds of this invention.
• prodrugs will be functional derivatives of the compounds of this invention which are readily convertible in vivo into the required compound.
• administering shall encompass the treatment of the various conditions described with the compound specifically disclosed or with a compound which may not be specifically disclosed, but which converts to the specified compound in vivo after administration to the patient.
• Conventional procedures for the selection and preparation of suitable prodrug derivatives are described, for example, in "Design of Prodrugs," ed. H. Bundgaard, Elsevier, 1985. Metabolites of these compounds include active species produced upon introduction of compounds of this invention into the biological milieu.
• compositions which comprise a compound of Formula I, or a pharmaceutically acceptable salt thereof, and a pharmaceutically acceptable carrier.
• composition as in pharmaceutical composition, is intended to encompass a product comprising the active ingredient(s), and the inert ingredient(s) (pharmaceutically acceptable excipients) that make up the carrier, as well as any product which results, directly or indirectly, from combination, complexation or aggregation of any two or more of the ingredients, or from dissociation of one or more of the ingredients, or from other types of reactions or interactions of one or more of the ingredients.
• the pharmaceutical compositions of the present invention encompass any composition made by admixing a compound of Formula I, additional active ingredient(s), and pharmaceutically acceptable excipients.
• compositions of the present invention comprise a compound represented by Formula I (or pharmaceutically acceptable salts thereof) as an active ingredient, a pharmaceutically acceptable carrier and optionally other therapeutic ingredients or adjuvants.
• the compositions include compositions suitable for oral, rectal, topical, and parenteral (including subcutaneous, intramuscular, and intravenous) administration, although the most suitable route in any given case will depend on the particular host, and nature and severity of the conditions for which the active ingredient is being administered.
• the pharmaceutical compositions may be conveniently presented in unit dosage fo ⁇ n and prepared by any of the methods well known in the art of pharmacy.
• the compounds represented by Formula I, or pharmaceutically acceptable salts thereof, of this invention can be combined as the active ingredient in intimate admixture with a pharmaceutical carrier according to conventional pharmaceutical compounding techniques.
• the carrier may take a wide variety of forms depending on the form of preparation desired for administration, e.g., oral or parenteral (including intravenous).
• the pharmaceutical compositions of the present invention can be presented as discrete units suitable for oral administration such as capsules, cachets or tablets each containing a predetermined amount of the active ingredient.
• the compositions can be presented as a powder, as granules, as a solution, as a suspension in an aqueous liquid, as a nonaqueous liquid, as an oil-in-water emulsion or as a water-in-oil liquid emulsion.
• the compound represented by Formula I may also be administered by controlled release means and/or delivery devices.
• the compositions may be prepared by any of the methods of pharmacy. In general, such methods include a step of bringing into association the active ingredient with the carrier that constitutes one or more necessary ingredients. In general, the compositions are prepared by uniformly and intimately admixing the active ingredient with liquid carriers or finely divided solid carriers or both. The product can then be conveniently shaped into the desired presentation.
• compositions of this invention may include a pharmaceutically acceptable carrier and a compound or a pharmaceutically acceptable salt of Formula I.
• the compounds of Formula I, or pharmaceutically acceptable salts thereof, can also be included in pharmaceutical compositions in combination with one or more other therapeutically active compounds.
• the pharmaceutical carrier employed can be, for example, a solid, liquid, or gas.
• solid carriers include lactose, terra alba, sucrose, talc, gelatin, agar, pectin, acacia, magnesium stearate, and stearic acid.
• liquid carriers are sugar syrup, peanut oil, olive oil, and water.
• gaseous carriers include carbon dioxide and nitrogen.
• any convenient pharmaceutical media may be employed.
• water, glycols, oils, alcohols, flavoring agents, preservatives, coloring agents and the like may be used to form oral liquid preparations such as suspensions, elixirs and solutions; while carriers such as starches, sugars, microcrystalline cellulose, diluents, granulating agents, lubricants, binders, disintegrating agents, and the like may be used to form oral solid preparations such as powders, capsules and tablets.
• carriers such as starches, sugars, microcrystalline cellulose, diluents, granulating agents, lubricants, binders, disintegrating agents, and the like may be used to form oral solid preparations such as powders, capsules and tablets.
• tablets and capsules are the preferred oral dosage units whereby solid pharmaceutical carriers are employed.
• tablets may be coated by standard aqueous or nonaqueous techniques
• a tablet containing the composition of this invention may be prepared by compression or molding, optionally with one or more accessory ingredients or adjuvants.
• Compressed tablets may be prepared by compressing, in a suitable machine, the active ingredient in a free-flowing form such as powder or granules, optionally mixed with a binder, lubricant, inert diluent, surface active or dispersing agent. Molded tablets may be made by molding in a suitable machine, a mixture of the powdered compound moistened with an inert liquid diluent.
• Each tablet preferably contains from about 0.1 mg to about 500mg of the active ingredient and each cachet or capsule preferably containing from about 0. lmg to about 500mg of the active ingredient.
• compositions of the present invention suitable for parenteral administration may be prepared as solutions or suspensions of the active compounds in water.
• a suitable surfactant can be included such as, for example, hydroxypropylcellulose.
• Dispersions can also be prepared in glycerol, liquid polyethylene glycols, and mixtures thereof in oils. Further, a preservative can be included to prevent the detrimental growth of microorganisms.
• Pharmaceutical compositions of the present invention suitable for injectable use include sterile aqueous solutions or dispersions. Furthermore, the compositions can be in the form of sterile powders for the extemporaneous preparation of such sterile injectable solutions or dispersions. In all cases, the final injectable form must be sterile and must be effectively fluid for easy syringability.
• the pharmaceutical compositions must be stable under the conditions of manufacture and storage; thus, preferably should be preserved against the contaminating action of microorganisms such as bacteria and fungi.
• the carrier can be a solvent or dispersion medium containing, for example, water, ethanol, polyol (e.g. glycerol, propylene glycol and liquid polyethylene glycol), vegetable oils, and suitable mixtures thereof.
• Pharmaceutical compositions of the present invention can be in a form suitable for topical use such as, for example, an aerosol, cream, ointment, lotion, dusting powder, or the like. Further, the compositions can be in a form suitable for use in transdermal devices.
• formulations may be prepared, utilizing a compound represented by Formula I of this invention, or pharmaceutically acceptable salts thereof, via conventional processing methods.
• a cream or ointment is prepared by mixing hydrophilic material and water, together with about 5 wt% to about 10 wt% of the compound, to produce a cream or ointment having a desired consistency.
• compositions of this invention can be in a form suitable for rectal administration wherein the carrier is a solid. It is preferable that the mixture forms unit dose suppositories. Suitable carriers include cocoa butter and other materials commonly used in the art. The suppositories may be conveniently formed by first admixing the composition with the softened or melted carrier(s) followed by chilling and shaping in moulds.
• compositions for administration by inhalation or insufflation may be formulated for delivery in the form of an aerosol spray from pressurized packs or nebulizers. They may also be delivered as powders which may be formulated and the powder composition may be inhaled with the aid of an insufflation powder inhaler device.
• the preferred delivery systems for inhalation are metered dose inhalation (MDI) aerosol, which may be formulated as a suspension or solution of a compound of Formula I in suitable propellants, such as fluorocarbons or hydrocarbons, and dry powder inhalation (DPI) aerosol, which may be formulated as a dry powder of a compound of Formula I with or without additional excipients.
• MDI metered dose inhalation
• DPI dry powder inhalation
• a dry powder composition for example a powder mix of the active ingredient and a suitable carrier such as lactose, may be presented in unit dosage form in, for example, capsules, cartridges or blister packs from which the powder may be administered with the aid of an inhaler.
• suitable carrier such as lactose
• Examples of dry powder inhalers that may be suitable for use with the present compositions may be found in Newman, S.P., Expert Qpin. Biol. Ther.. 2004, 4(l):23-33.
• the pharmaceutical formulations described above may include, as appropriate, one or more additional carrier ingredients such as diluents, buffers, flavoring agents, binders, surface-active agents, thickeners, lubricants, preservatives (including anti- oxidants) and the like.
• additional carrier ingredients such as diluents, buffers, flavoring agents, binders, surface-active agents, thickeners, lubricants, preservatives (including anti- oxidants) and the like.
• additional carrier ingredients such as diluents, buffers, flavoring agents, binders, surface-active agents, thickeners, lubricants, preservatives (including anti- oxidants) and the like.
• additional carrier ingredients such as diluents, buffers, flavoring agents, binders, surface-active agents, thickeners, lubricants, preservatives (including anti- oxidants) and the like.
• other adjuvants can be included to render the formulation isotonic with the blood
• Compounds of this invention are selective inhibitors of cathepsin S, and as such are useful in the treatment and prevention of cathepsin S dependent diseases and conditions in mammals, preferably human.
• another aspect of the present invention provides a method for the prevention or treatment of cathepsin S dependent diseases and conditions in a mammal which comprises administering to said mammal a therapeutically effective amount of a compound of formula (I).
• This aspect encompasses the use of a compound of formula (I) for the manufacture of medicament for the treatment or prevention of cathepsin S dependent diseases and conditions.
• Cathepsin S dependent diseases and conditions which compounds of formula (I) may be useful in the treatment or prevention include, but are not limited to, Alzheimer's disease, Down's syndrome; atherosclerosis and myocardial infarct and stroke, chronic obstructive pulmonary disease including emphesyma and chronic bronchitis, cancer, osteoarthritis, Gaucher Disease, myoclonus epilepsy, and certain autoimmune disorders, including but not limited to, juvenile onset diabetes, multiple sclerosis, pemphigus vulgaris, Graves' disease, myasthenia gravis, systemic lupus erythemotasus, rheumatoid arthritis and Hashimoto's thyroiditis; allergic disorders including but are not limited to rejection of organtransplants or tissue grafts; and pain including visceral pain (such as pancreatitis, interstitial cystitis, renal colic, prostatitis, chronic pelvic pain), neuropathic pain (such as postherpetic neuralgia
• Dose Ranges The magnitude of prophylactic or therapeutic dose of a compound of Formula I will vary with the nature and severity of the condition to be treated, and with the particular compound of Formula I used and its route of administration. The dose will also vary according to the age, weight and response of the individual patient. In general, the daily dose range lies within the range of from about 0.001 mg to about 100 mg per kg body weight of a mammal, preferably 0.01 mg to about 50 mg per kg, and most preferably 0.1 to 10 mg per kg, in single or divided doses. On the other hand, it may be necessary to use dosages outside these limits in some cases.
• a suitable dosage range is from about 0.01 mg to about 25 mg (preferably from 0.1 mg to about 10 mg) of a compound of Formula I per kg of body weight per day.
• a suitable dosage range is, e.g. from about 0.01 mg to about 100 mg of a compound of Formula I per kg of body weight per day, preferably from about 0.1 mg to about 10 mg per kg.
• a suitable dosage range is from 0.01 mg to about 25 mg (preferably from 0.1 mg to about 5 mg) of a compound of Formula I per kg of body weight per day.
• a compound of Formula I may be used at a dose of from about 0.1 mg/kg to about 100 mg/kg, preferably from about 1 mg/kg to 10 mg/kg, by oral/inhalation/sublingual/etc. once, twice, three times daily, etc. The dose may be administered as a single daily dose or divided for twice or thrice daily administration.
• a compound of Formula I may be used at a dose of from about 0.1 mg/kg to about 100 mg/kg, preferably from about 1 mg/kg to 10 mg/kg, by oraL'inhalation/sublingual/etc. once, twice, three times daily, etc. The dose may be administered as a single daily dose or divided for twice or thrice daily administration.
• a compound of Formula I may be used at a dose of from about 0.1 mg/kg to about 100 mg/kg, preferably from about 1 mg/kg to 10 mg/kg, by oral/inhalation/sublingual/etc. once, twice, three times daily, etc.
• the dose may be administered as a single daily dose or divided for twice or thrice daily administration.
• Compounds of Formula I may be used in combination with other drugs that are used in the treatment/prevention/suppression or amelioration of the diseases or conditions for which compounds of Formula I are useful. Such other drugs may be administered, by a route and in an amount commonly used therefor, contemporaneously or sequentially with a compound of Formula I.
• a pharmaceutical composition containing such other drugs in addition to the compound of Formula I is preferred.
• the pharmaceutical compositions of the present invention include those that also contain one or more other active ingredients, in addition to a compound of Formula I.
• Examples of other active ingredients that may be combined with a compound of Formula I, either administered separately or in the same pharmaceutical compositions, include, but are not limited to: (1) morphine and other opiate receptor agonists including propoxyphene (Darvon) and tramadol; (2) non-steroidal antiinflammatory drugs (NSADDs) including COX-2 inhibitors such as propionic acid derivatives (alminoprofen, benoxaprofen, bucloxic acid, carprofen, fenbufen, fenoprofen, fluprofen, flurbiprofen, ibuprofen, indoprofen, ketoprofen, miroprofen, naproxen, oxaprozin, pirprofen, pranoprofen, suprofen, tiaprofenic acid, and tioxaprofen), acetic acid derivatives (indomethacin, acemetacin, alclofenac, clidanac, di
• antidepressants e.g., tricyclic antidepressants, serotonin-selective reuptake inhibitors, beta- adrenergic blockers
• VRl antagonsits e.g., gabapentin, pregabalin, lamotrigine, topiramate, carbamazepine, oxcarbazepine, phenytoin
• glutamate antagonists e.g., ketamine and other NMDA antagonists, NR2B antagonists
• (21) acetaminophen (22) CCR2 antagonists; (23) PDE4 antagonists
• muscarinic M3 receptor antagonists such as tiotropium
• HMG-CoA reductase inhibitors such as lovastatin, simvastatin, atorvastatin, flu
• Recombinant human Cat S was from Calbiochem, while recombinant human Cat L was from R&D Systems.
• Human liver Cat B was from Sigma.
• Pre-pro-form humanized rabbit Cathepsin K (rabbit cathepsin K with S 163 A, Y175D and V274L mutations introduced; numbered from initial methionine) was expressed in and purified from the media fraction of Hek 293 cells, then acid activated. All protease substrates were from Bachem.
• Enzyme activity assays Assays of Cat S were carried out in 50 mM MES pH 6.5, 100 mM NaCl, 2.5 mM DTT, 2.5 mM EDTA, 0.001% w/v BSA, 10 % DMSO and 40 ⁇ M Z-VaI- Val-Arg- AMC as substrate. Assays of Cat B were carried out in 50 mM MES pH 6.0, 2.5 mM DTT, 2.5 mM EDTA, 0.001% Tween-20, 10 % DMSO and 83 ⁇ M Boc-Leu-Lys-Arg-AMC as substrate.
• the substrate concentrations employed represent K m or sub-K m values.
• the percent inhibition of the reaction was calculated from a control reaction containing only vehicle.
• IC 50 curves were generated by fitting percent inhibition values to a four parameter logistic model (SoftmaxPro, Molecular Devices).
• Compounds of formula (I) generally have IC50 values of about 1 ⁇ M or lower; more typically they have IC50 values of about 50 nM or lower.
• Compounds exemplified herein were tested to have IC50 values ranging from about 0.2 to about 21 nM.
• mice (C5B16, Taconic) were anesthetized with 2% gaseous isoflurane. An incision was made just below the hip bone, parallel to the sciatic nerve. The nerve was exposed, and any adhering tissue removed from the nerve. A tight ligature with 6-0 silk suture thread around 1/3 to 1/2 of the diameter of the sciatic nerve was made. Muscles were closed with suture thread and the wound with wound clips. The response of the mice to mechanical stimulation was tested before and 4 days after nerve injury.
• Rat Model Rats Male Sprague-Dawley, Charles River, 150-170 g were anesthetized with isoflurane and were placed on a heating pad. Using aseptic technique, the L5 spinal nerve was exposed, ligated and transected (modified spinal nerve ligation, SNL model). Muscle and skin were closed with 4- 0 Polydiaxone and wound clips, respectively. Tactile allodynia was assessed with calibrated von Frey filaments (Stoelting Co. Wood
• % reversal was calculated as: (post-drug - post-SNL) / (pre-SNL - post-SNL) xlOO, where 100% is equivalent to complete reversal of allodynia, i.e. pre-SNL value.
• a suitably substituted amino acid which may be prepared by methods known in the literature, can be reduced to the corresponding amino alcohol with a reagent such as lithium aluminum hydride, or alternatively by forming an amino ester and reducing with an alkali metal borohydride.
• the amino alcohol can be condensed with a suitably functionalized ketone under Dean-Stark conditions using an acid catalyst such as PPTS or TsOH.
• the resulting oxazoline can be separated into pure diastereomers by chromatography or fractional crystallization as reported in Ishii et al, Tetrahedron Lett. 39, 1199-1202 (1998).
• the oxazoline can be treated with a lithium acetylide to generate compounds of structure (4).
• the alcohol functionality can be oxidized to the carboxylic acid using reagents such as H 3 IO 4 /Cr ⁇ 3 .
• reagents such as H 3 IO 4 /Cr ⁇ 3 .
• this oxidation step can be carried out after the amide formation step
• the carboxylic acid is coupled with an appropriately substituted aminoacetonitrile moiety using a peptide coupling reagent such as HATU, pyBOP, or EDC in the presence of an amine base to provide compounds of the present invention.
• the amino acid of formula (1) may be prepared using the procedures depicted in Schemes 2a and 2b.
• Y a O or S
• a protected amino acid derivative (6) is treated with a base such as potassium carbonate and a suitable US substituted with a leaving group (R.3-LG) in DMF followed by deprotection of the resulting derivative to provide (Ia).
• R.3-LG a leaving group
• oxidation of the mercapto derivative with chlorine in the presence of acetic acid and subsequent treatment of the sulfonyl chloride derivative with an amine and a base such as TEA produces (Ib) following deprotection of the amine and acid groups.
• the amide (Ic) can be prepared from a protected amino acid derivative (7) in which a free carboxylic acid is activated with a reagent such as thionyl chloride or isobutylchloroformate and the resulting acid chloride or mixed anhydride is treated with an amine R 3 NH 2 and a base such as TEA. Subsequent deprotection of the amine and carboxylate functionalities provides compound Ic Scheme 2a
• Compounds of formula (5b) may also be prepared as described in Scheme 4.
• An amine derivative (13) and a ketone, the hydrated form of a ketone or the hemiacetal form of a ketone (12), are condensed in a solvent such as benzene with removal of the water produced.
• the resulting condensation product (14) is then treated with an alkynyl lithium derivative in a solvent such as THF at low temperature to generate adduct (15).
• the sulfur atom of this adduct can then be oxidized with an oxidizing agent such as hydrogen peroxide in the presence of sodium tungstate and a phase transfer reagent such as tetrabutylammonium hydrogen sulfate.
• the product can then be deprotected and the resulting alcohol oxidized to the carboxylic acid derivative (5b) with an oxidizing agent such as periodic acid and chromium trioxide in wet acetonitrile.
• Step 1 (2R,4R)-4-[(Benzylthio)methyll-2-(4-fluorophenyl)-2-(trifluoromethyl)-1.3-oxazolidine.
• Step 2. f 2R)-3-(Benzylthio)-2- ⁇ [Y 1 R)-3 -cyclopropy 1- 1 -(4-fluorophenyl)-l -(trifluoromethyl)prop-2-yn- 1 - yl]arnino>propan-l-ol.
• a -78 0 C solution of cyclopropylacetylene (70% w/w in toluene, 1.5 mL, 12.7 mmol) in THF (20 mL) was added n-butyl lithium (1.6 M in hexanes, 7.8 mL, 12.5 mmol).
• Step 3 3-( " BenzylsulfonylVN-[(lR)-3-cyclopropyl-l-(4-fluorophenyl)-l-(trifluoromethyl)prop-2-vn-l- yl]-L-alanine.
• oxalyl chloride 0.25 mL, 2.9 mmol
• DMSO 0.32 mL, 4.5 mmol
• Step 4 3 -(Benzylsulfonyl)-N' -( 1 -cyanocyclopropyl)-N 2 -[( 1 R)- 3 -cvclopropyl- 1 -(4-fluorophenyl)- 1 - (trifluoromethyl)prop-2-vn- 1 -yl]-L-alaninamide.
• HATU HATU
• l-aminocyclopropanecarbonitrile 230 mg, 2.3 mmol
• Et3 ⁇ 0.5 mL, 3.6 mmol
• Step 3 To a solution of unpurified compound of Example 1, Step 3 (125 mg, 0.26 mmol), HATU (133 mg, 0.35 mmol) and aminoacetonitrile (39 mg, 0.42 mmol) in DMF (3 mL) was added Et3 ⁇ (0.1 mL, 0.7 mmol). The mixture was stirred 21 h at room temperature, then partitioned between MTBE and water. The organic phase was washed with pH 3.5 phosphate buffer and brine, dried over MgSO4 and concentrated.
• Step 1 (2R.4R)-2-(4-bromophenyl')-4-[(methylthio ' )methy ⁇ -2-(trifluoromethyl)-1.3-oxazolidine. 10 ⁇ sodium hydroxide (6.98 mL) was added to a 0 0 C mixture of (2R)-2-amino-3-(methylthio)propan-l-ol hydrochloride (1 Ig, 69.8 mmol) and toluene (233 mL) and the mixture was stirred for 30 min.
• Step 4 N-[C IR)- 1 -(4-bromophenyl)-3-cvclopropyl- 1 -(trifluoromethvOprop-2-vn- 1 -yl]-3-( " methylsulfonylV L-alanine.
• Step 5 N 2 - ⁇ ( IR)-I - ⁇ -bromophenvD-S-cvclopropyl-l-CtrifluoromethvDprop ⁇ -yn-l-yli-N-d-cvano- cyclopropyl)-3-faiethylsulfonyl)-L-alaninamide.
• Step 1 f2RVl-(
• (2R)"2-amino-3-(methylthio)propan-l-ol hydrochloride 48 g., 304 mmol.
• dichloromethane 608 mL
• triethylamine 107 mL, 760 mmol.
• the mixture was reacted at -78 0 C for 1 hr and then was warmed to O 0 C. It was quenched with aqueous ⁇ H4CI and extracted with ethyl acetate. The organic layer was washed with brine and dried. The residue from evaporation of the solvent was passed on a short pad of silica gel eluting with 1 :25 ethyl acetate and hexanes to yield the sulfide adduct (1.2 g.) as a mixture with the S,S isomer and was used as such in the next step.
• a solution of C1O3/H5IO6 was prepared by dissolving at room temperature Cr ⁇ 3 (12 mgs) and periodic acid (5.7 g.) in acetonitrile (57 mL) containing water (427 uL). The mixture was stirred for 16 hrs at 5 0 C. To a 0 0 C solution of the alcohol from Step 4 (370 mg, 1.24 mmol) in acetonitrile (10 mL) was added 12 mL of the above solution dropwise and the mixture was reacted at O 0 C for 4 hrs. It was poured on ice, ethyl acetate and IM ⁇ a2HP ⁇ 4 and the pH was adjusted to ⁇ 5 with IN HCl.
• Step 7 N-( 1 -cyanocyclopropyl)-N 2 -[( lS)-3-cyclopropyl- 1 -(trifluoromethyl)prop-2-yn- 1 -yl]-3-

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